Fairfield Hospital
3000 Mack Rd., Fairfield, OH · Mercy · · NPI 1467552471
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $37,096.44 | $61,827.40 | $7,194.09 – $7,337.97 | 4 |
| Shoulder X-ray CPT 73030 | $292.80 | $488.00 | not published | 0 |
| Shrinker prosth above knee HCPCS L8460 | $199.81 | $333.01 | not published | 0 |
| Shrinker prosth below knee HCPCS L8440 | $140.56 | $234.26 | not published | 0 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $7,610.24 | $12,683.73 | not published | 0 |
| Sialography s&i CPT 70390 | $842.40 | $1,404.00 | not published | 0 |
| Sickling rbc CPT 85660 | $28.80 | $48.00 | not published | 0 |
| Sigmoidoscopy and biopsy CPT 45331 | $5,762.58 | $9,604.30 | $922.00 – $940.44 | 4 |
| Sigmoidoscopy for bleeding CPT 45334 | $6,389.65 | $10,649.42 | $1,186.40 – $1,210.12 | 4 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $167.40 | $279.00 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,969.80 | $3,283.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $1,527.60 | $2,546.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $1,120.20 | $1,867.00 | not published | 0 |
| Sinus/juglr venogram s&i CPT 75860 | $3,663.60 | $6,106.00 | not published | 0 |
| Sio flex pelvisacral custom HCPCS L0622 | $632.41 | $1,054.02 | not published | 0 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | $418.75 | $697.91 | not published | 0 |
| Skin Biopsy CPT 11102 | $606.60 | $1,011.00 | not published | 0 |
| Sleeve fing rolyan med HCPCS L3933 | $459.47 | $765.79 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $204.01 | $340.01 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $17,842.81 | $29,738.01 | not published | 0 |
| Small bowel endoscopy CPT 44369 | $14,621.84 | $24,369.73 | $1,902.48 – $1,902.48 | 3 |
| Small bowel endoscopy/biopsy CPT 44361 | $14,621.84 | $24,369.73 | $1,902.48 – $1,902.48 | 2 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $44.40 | $74.00 | not published | 0 |
| Smear gram stain CPT 87205 | $36.60 | $61.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $47.40 | $79.00 | not published | 0 |
| Smear wet mount CPT 87210 | $37.80 | $63.00 | not published | 0 |
| Smpd1 gene common variants CPT 81330 | $332.40 | $554.00 | not published | 0 |
| So airplane w/wo joint cf HCPCS L3674 | $2,545.34 | $4,242.23 | not published | 0 |
| So cap design without jnts cf HCPCS L3671 | $1,940.30 | $3,233.83 | not published | 0 |
| Socket insert without lock mech HCPCS L5679 | $1,286.05 | $2,143.42 | not published | 0 |
| Sock fracture or equal each HCPCS L3995 | $71.96 | $119.93 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $13.20 | $22.00 | not published | 0 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $37.80 | $63.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $37.80 | $63.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $37.80 | $63.00 | not published | 0 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $37.80 | $63.00 | not published | 0 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $143.52 | $239.20 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $60.60 | $101.00 | not published | 0 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $8.40 | $14.00 | not published | 0 |
| Soft interface below knee se HCPCS L2820 | $179.08 | $298.46 | not published | 0 |
| So vest canvas/web pre ots HCPCS L3675 | $377.96 | $629.94 | not published | 0 |
| Specific gravity body fluid CPT 84315 | $14.40 | $24.00 | not published | 0 |
| Specimen fat stain CPT 89125 | $11.40 | $19.00 | not published | 0 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $3,251.40 | $5,419.00 | not published | 0 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $1,091.26 | $1,818.76 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $141.44 | $235.74 | not published | 0 |
| Splint finger fold over sm HCPCS L3924 | $208.00 | $346.66 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $211.67 | $352.78 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $208.00 | $346.66 | not published | 0 |
| Sputum specimen collection CPT 89220 | $334.80 | $558.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $289.20 | $482.00 | not published | 0 |
| Staph a dna amp probe CPT 87640 | $75.60 | $126.00 | not published | 0 |
| Static or dynami afo pre ots HCPCS L4397 | $656.06 | $1,093.43 | not published | 0 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $146.40 | $244.00 | not published | 0 |
| Stem cells total count CPT 86367 | $311.40 | $519.00 | not published | 0 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $47,337.52 | $78,895.86 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $38,051.19 | $63,418.65 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $41,331.47 | $68,885.78 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $918.48 | $1,530.80 | not published | 0 |
| Sterile water/saline, 10 ml HCPCS A4216 | $37.80 | $63.00 | not published | 0 |
| Sternal pad HCPCS L1050 | $237.41 | $395.69 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $289.20 | $482.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $228.60 | $381.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $183.60 | $306.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $225.00 | $375.00 | not published | 0 |
| Stimulants synthetic CPT 80371 | $192.60 | $321.00 | not published | 0 |
| Stocking sup grips 4 pre ots HCPCS L0982 | $37.00 | $61.67 | not published | 0 |
| Straight knee joint heavy du HCPCS L2385 | $347.68 | $579.47 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $442.20 | $737.00 | not published | 0 |
| Strapping of chest CPT 29200 | $312.00 | $520.00 | not published | 0 |
| Strapping of elbow or wrist 29260 CPT 29260 | $74.40 | $124.00 | not published | 0 |
| Strapping of hand or finger CPT 29280 | $74.40 | $124.00 | not published | 0 |
| Strapping of hip CPT 29520 | $283.80 | $473.00 | not published | 0 |
| Strapping of knee CPT 29530 | $246.60 | $411.00 | not published | 0 |
| Strapping of toes 29550 CPT 29550 | $129.60 | $216.00 | not published | 0 |
| Strep b dna amp probe CPT 87653 | $241.80 | $403.00 | not published | 0 |
| Str markers specimen anal CPT 81265 | $557.40 | $929.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $222.60 | $371.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $121.80 | $203.00 | not published | 0 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $6.00 | $10.00 | not published | 0 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $56.64 | $94.40 | not published | 0 |
| Support clav 29.6-40.5in med HCPCS L3650 | $599.08 | $998.47 | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $79.20 | $132.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $146.40 | $244.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $239.40 | $399.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $221.40 | $369.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $507.00 | $845.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $564.00 | $940.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $52.20 | $87.00 | not published | 0 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $35.40 | $59.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $66.60 | $111.00 | not published | 0 |
| Suspension sleeve lower ext HCPCS L2397 | $251.38 | $418.96 | not published | 0 |
| Svc venogram s&i CPT 75827 | $3,228.60 | $5,381.00 | not published | 0 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $9.00 | $15.00 | not published | 0 |
| System cardiomems hosp electronics HCPCS C2624 | $49,860.18 | $83,100.30 | not published | 0 |
| System pacing micra av HCPCS C1786 | $43,824.47 | $73,040.79 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $21,174.83 | $35,291.39 | not published | 0 |
| System recell skin grafting/harvesting HCPCS C1832 | $18,041.51 | $30,069.19 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $156.60 | $261.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $27.60 | $46.00 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.